Individual
KAYLIE DANELLE PETERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Mailing address
725 WELCH RD, PALO ALTO, CA 94304-1601
(650) 497-8000
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
95025388
CA
363LP0200X
Pediatric Nurse Practitioner
10026130
OR
Other
Enumeration date
09/07/2020
Last updated
07/15/2024
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